APR 15, 2015
What is Different About the New CMS 1500 Form Version 02/12?
Question: What is different about the new CMS 1500 form version 02/12?
Answer: The main difference is there is room to add 12 diagnosis codes to accommodate ICD-10 in box 21. Be sure to indicate in the top right hand corner of this box in the field labeled “ICD Ind.” which code set you are using; ICD-9 or ICD-10.
Get instructions on how to fill out CMS 1500 form version 02/12. (nucc.org - PDF)